DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Feldman, Mitchell R	DOIID	1021126	NAIC NPN	18958317

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/4/2018	3/31/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	12/17/2018	10/10/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/29/2019	3/31/2021
Inactive	Federal Insurance Company	301144	Agent - Health	12/12/2018	3/31/2021
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/8/2019	3/31/2021
Inactive	Reserve National Insurance Company	301073	Agent - Health	9/16/2019	12/31/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/6/2019	3/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/10/2020	3/31/2021